Provider Demographics
NPI:1356329254
Name:YEN, AMY B (MD)
Entity Type:Individual
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First Name:AMY
Middle Name:B
Last Name:YEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1300 SAWGRASS CORPORATE PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-2826
Mailing Address - Country:US
Mailing Address - Phone:800-243-3839
Mailing Address - Fax:855-527-5510
Practice Address - Street 1:1235 E CHEROKEE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-2203
Practice Address - Country:US
Practice Address - Phone:417-820-2000
Practice Address - Fax:855-527-5510
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2016-10-11
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Provider Licenses
StateLicense IDTaxonomies
MO20100032092080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200631500AMedicaid
MN255457700Medicaid
AR191971002Medicaid
OK200631500AMedicaid
AR191971002Medicaid